Job responsibilities
CEMS Paramedic / Nurse
About LIVES the
Charity
LIVES
is a forward-thinking innovative charity that first started 50 years ago. We
passionately believe it takes a team to save a life, and that means we value
our team and everything they do! CEMS is an exciting and motivated team of
like-minded healthcare professionals who go above and beyond for their
patients. LIVES is a flexible and supportive employer, who places education and
continuing development at the centre of its focus. Looking after our team and
our local communities is what LIVES does best.
Every
member of the LIVES team is vital to delivering the best outcome for patients,
from the volunteer Community First Responder (CFR) and Medical First Responders
(MFR)s attending a cardiac arrest, to experienced health care professionals
bringing advanced treatments into the community. To enable all this to happen,
LIVES is supported by a teams of dedicated people across various departments,
all united in the mission to save lives and improve patient outcomes across
Lincolnshire. This role is part of that team.
About LIVES Community Emergency Medical
Services (CEMS)
In 2019, The NHS Long Term Plan outlines
how the NHS should evolve in the face of growing concern about meeting capacity
in unscheduled care and in particular pressure on ambulance service trusts and
accident and emergency departments. This included an increase in emergency
treatment in a community-based setting, with aims such as advanced
practitioners working with ambulance services to help reduce pressure on
hospital services.
In 2020, in line with this aspiration,
Lincolnshire CCG commissioned LIVES to provide enhanced assessment and
interventions to patients who have accessed the NHS by dialling 999. The
aims of the service were to reduce avoidable ED attendance and hospital
admission as well as improving the patient experience
care by delivering responsive healthcare in the community that traditionally
could only be delivered in hospital. The LIVES CEMS
(Community Emergency Medicine Service) was born.
Interventions of CEMS range from simply
giving reassurance, to providing advanced treatment in patients homes, such as
pre-hospital IV fluids and antibiotics, wound closure, the use of mobile
diagnostic ultrasound and point of care blood testing. We work closely with
colleagues in the NHS and when appropriate can direct patients to alternative
community pathways such as urgent care response and palliative care specialist
teams.
CEMS also support EMAS
(East Midlands Ambulance Services) in responding to category 1 incidents
such as cardiac arrests & life threatening medical emergencies.
As we expand both the geographical reach
and clinical scope of the service there is a need to recruit new team members.
This role is unique in the UK and provides an opportunity for healthcare
professionals with suitable experience, aptitude, and a desire to build skills
and experience in pre-hospital community emergency care to contribute and learn
in a supportive, dynamic, multi-professional team
environment.
EMPLOYMENT
DETAILS
Job
Title: CEMS
Paramedic/Nurse (Bank)
Locations: LIVES HQ,
Units 5-8 Birch Court, Spratt Close, Boston Road Industrial Estate, Horncastle,
LN9 6SB. You will be required to work at a range of locations within
Lincolnshire to suit operational needs.
Working Pattern: Bank (internal only) to cover
service gaps
There is
no requirement to work overnight shifts. The service runs across all days of
the week, 365 days a year.
Responsible to: LiLT Education and
Commissioned Delivery
Responsive to: CEMS Leadership Team,
CEMS Clinical Team, LIVES HQ Leadership Team
Interacts with: East Midlands Ambulance
Service (EMAS) clinicians and managers, NHS primary and secondary care
colleagues, social care sector, emergency services, LIVES employed and
volunteer colleagues wider health and social care community colleagues.
Line Management: This role has no direct
line-management responsibilities. However, as an experienced health care
professional, you will be expected to support clinical colleagues either in
person, or via remote telephone or video consultation.
Indemnity: CNST (Clinical
Negligence Scheme for Trusts) also know as Crown Indemnity is provided for
this post, although in keeping with standard practice for health professionals,
all CEMS clinicians are encouraged to hold personal medical indemnity insurance
in addition.
Responsibilities
of the Role
Join
us as a CEMS Paramedic or Nurse, contributing essential clinical expertise to
support Doctors or ACPs in various tasks. Operating our modern fleet of
blue-light response vehicles, you'll collaborate closely in a two-person team,
becoming a valued member of the CEMS medical team. Independently and
collaboratively, you'll provide advanced clinical assessment and enhanced medical
care in the pre-hospital setting, managing patients of all ages and acuity
levels, often in complex scenarios. Your role involves delivering care beyond
typical ambulance or primary care responses, empowering you to make referrals
and expand your clinical skills.
CEMS
Paramedics and Nurses play a crucial role in directing patients to the right
specialty within the NHS, enhancing pre-hospital management through skilled
interventions. You'll ensure clinicians arrive safely at incidents and deliver
high-quality pre-hospital care in Lincolnshire. We seek experienced registered
Paramedics or Nurses with NHS frontline experience, no UK practice
restrictions, and enthusiasm for innovative healthcare delivery. Additional
experience in primary care, emergency medicine, palliative care, leadership, or
pre-hospital care instruction/assessment is desirable.
This
role offers an exciting opportunity for experienced health professionals
seeking a new challenge. Your commitment will be rewarded with access to clinical
mentorship, comprehensive training, and a thorough sign-off process. To succeed
as a CEMS Paramedic or Nurse, you must comfortably work in a multidisciplinary
team, meet essential criteria, and apply effective crew-resource management
principles.
MAIN
DUTIES & RESPONSIBILITIES
Pre-Operational Training
Undertake
a LIVES operational induction.
Complete
a CEMS Paramedic and Nurse induction, by multiple methods including a training
needs analysis, mentored shifts, APEL (accreditation of prior experiential
learning), clinical simulations, case based discussions and sign off competency
package.
Complete
or demonstrate evidence of mandatory training elements including resuscitation
of the adult, child and neonate.
If
necessary, undergo training in the use of SystmOne and CEMS IT Systems.
Demonstrate
currency in emergency response driving.
Main Duties
Perform
standard clinical skills and competencies independently or collaboratively in
an enhanced pre-hospital emergency care team, following guidelines.
Conduct
clinical assessments, investigations, and treatments across all ages and acuity
levels, adhering to SOPs and recognizing limitations.
Respond
to suitable cases identified by senior CEMS Clinicians, providing pre-hospital
care and managing complex incidents.
Support
healthcare professionals through consultations, participate in patient
assessments, and facilitate informed health choices.
Administer
emergency care interventions, resuscitation, and clinical procedures in
pre-hospital settings.
Dynamically
assess incident scenes, identify risks, and manage patients while ensuring
safety.
Maintain
accurate records, report incidents, and liaise with relevant agencies.
Uphold
standards of care, ensure patient dignity, and handle medical equipment
responsibly.
Handover
information, maintain cleanliness of vehicles and equipment, and conduct
routine checks.
Share
knowledge within the team, provide mentorship to others including students on
placement.
Assist
with equipment and drug audits.
Conduct
vehicle checks, drive in accordance with standards, and ensure operational
readiness.
Participate
in clinical governance activities, attend meetings, facilitate debriefs, and
comply with investigation procedures.
Adhere
to IPC guidelines, wear appropriate PPE, and maintain infection control
standards.
Promote
and maintain a safe working environment, following SOPs and Health and Safety
legislation.
Maintain
confidentiality, adhere to the Data Protection Act, and only disclose
information as required for emergency care.
Comply
with training requirements, maintain professional registration, and engage in
self-directed learning.
Participate
in public relations activities on behalf of the charity when required.
Complete
annual performance reviews, pre-operational training, and additional modules as
required by the CEMS Leadership Team.
Contribute
to the daily running of CEMS, be available outside duty hours when necessary,
and supervise observers and trainees.
